Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Prescriptions Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454 US

Kimberly Moody Wade

General Dentist


Kimberly Moody Wade

Overview

Kimberly Moody Wade is a General Dentist in the JACKSON area. Kimberly Moody Wade primary office location is at 3502 W NORTHSIDE DR and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1245533975 and the information was updated approximately 15 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: NO

Contact Information

Primary Practice Location Information
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454 US
Phone: (601)-362-5321
Fax:
Practice Mailing Information
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454 US
Phone: (601)-362-5321
Fax:
License NumberState
3578-10MS